International Journal of Advanced Culture Technology

The International Promotion Agency of Culture Technology (국제문화기술진흥원)
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Validation of the Korean Version of the Standardized Swallowing Assessment and the National Institute of Health Stroke Scale Among Acute Stroke Patients

  • Yun, Sukkyung (Dept. of Nursing, Gyeongsang National University Hospital) ;
  • Kim, Hyemin (Dept. of Nursing, Gyeongsang National University Hospital) ;
  • Mo, Eunji (Dept. of Nursing, Gyeongsang National University Hospital) ;
  • Kim, Mingyeong (Dept. of Nursing, Gyeongsang National University Hospital) ;
  • Kim, Minji (Dept. of Nursing, Gyeongsang National University Hospital) ;
  • Gil, Chorong (College of Nursing, Gerontological Health Research Center in Institute of Health Sciences, Gyeongsang National University) ;
  • Chang, HeeKyung (College of Nursing, Gerontological Health Research Center in Institute of Health Sciences, Gyeongsang National University)
  • Received : 2018.11.14
  • Accepted : 2018.11.24
  • Published : 2018.12.31
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Abstract

Proper management and prevention of dysphagia are urgently needed in acute care of stroke patients in Korea. However, no highly sensitive and accessible nurse-led screening tools have been validated within the Korean settings. The purpose of this study was to validate a screening tool led by nurses to identify dysphagia and aspiration risks among acute stroke patients. Registered nurses (RNs) screened 131 residents from a university hospital in South Korea using the Korean version of the Standardized Swallowing Assessment (K-SSA). Results were validated against those from the Gugging Swallowing Screen (GUSS). Compared to results from the GUSS, with 9- and 14-point cutoffs, the K-SSA had a sensitivity of 0.80 and specificity of 0.90 [95% CI 0.806, 0.992] for screening dysphagia and 1.00 sensitivity and 0.94 specificity [95% CI 0.862, 1.000] for screening aspiration risks. The K-SSA demonstrated excellent sensitivity and specificity for screening individuals at risk of dysphagia and aspiration when led by RNs for acute stroke patients.

Keywords

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Figure 1. Receiver operating characteristic (ROC) curves of the power of two methods to discriminate between the Gugging Swallowing Screen (GUSS) and Korean Standardized Swallowing Assessment, using the 9-point (A) and 14-point (B) cutoffs of the GUSS

Table 1. Validation of the standardized swallowing assessment (N=131)

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Table 2. Validation of the NIHSS (N=131)

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